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Copyright of Archives of Orthopaedic & Traumatic Surgery / Archiv für Orthopädie, Mechanotherapie und Unfallchirurgie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Archives of Orthopaedic & Traumatic Surgery / Archiv für Orthopädie, Mechanotherapie und Unfallchirurgie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Robust clinical evidence has not been available for melatonin, a drug commonly administered for treating sleep problems of children with autism spectrum disorder (ASD). In a phase 3 randomized, placebo-controlled clinical trial, we administered 1-mg melatonin (n = 65), 4-mg melatonin (n = 65), or placebo (n = 66) to196 children with ASD once daily before bedtime under adequate sleep hygiene interventions. The primary outcome was sleep onset latency (SOL) assessed with the electronic sleep diary. SOL shortened significantly in the 1- and 4-mg melatonin groups compared to the placebo group (- 22.0, - 28.0, and - 5.0 min, respectively; p < 0.0001 each). This therapeutic regimen of melatonin is a reasonable clinical approach to cope with ASD-emergent difficulties in children with ASD., (© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

We investigated the seismological structure beneath the equatorial Melanesian region, where is tectonically unique because an immense oceanic plateau, a volcanic chain and subduction zones meet. We conducted a multi-frequency P-wave tomography using data collected from an approximately 2-year-long seismic experiment around the Ontong Java Plateau (OJP). High-velocity anomalies were revealed beneath the center of the OJP at a depth of ~ 150 km, the middle-eastern edge of the OJP at depths of 200-300 km, and in the mantle transition zone beneath and around the OJP; low-velocity anomalies were observed along the Caroline volcanic island chain above 450 km depth. These anomalies are considered to be associated with the thick lithosphere of the OJP, remnant dipping Pacific slab, stagnant Pacific slab, and a sheet-like upwelling. The broad stagnant slab was formed due to rapid trench retreat from 48 to 25 Ma until when the OJP with thick lithosphere collided with a subduction boundary of the Pacific and Australian plates. This collision triggered slab breakoff beneath the arc where the dipping slab remained. The stagnant Pacific slab in the mantle transition zone restricted the plume upwelling from the lower mantle causing sheet-like deformed upwelling in the upper mantle., (© 2021. The Author(s).)

Background: Clinical evidence is required about the long-term efficacy and safety of melatonin treatment for sleep problems in children with neurodevelopmental disorders (NDDs) who underwent adequate sleep hygiene interventions., Methods: We conducted a 26-week, multicenter, collaborative, uncontrolled, open-label, phase III clinical trial of melatonin granules in children 6 to 15 years of age who had NDDs and sleep problems. The study consisted of the 2-week screening phase, the 26-week medication phases I and II, and the 2-week follow-up phase. Children received 1, 2, or 4 mg melatonin granules orally in the medication phases. Variables of sleep status including sleep onset latency (SOL), aberrant behaviors listed on the Aberrant Behavior Check List-Japanese version (ABC-J), and safety were examined. The primary endpoint was SOL in the medication phase I., Results: Between June 2016 and July 2018, 99 children (80 males and 19 females, 10.4 years in mean age) were enrolled at 17 medical institutions in Japan-74, 60, 22, 9, 6, and 1 of whom had autism spectrum disorder, attention-deficit/hyperactivity disorder, intellectual disabilities, motor disorders, specific learning disorder, and communication disorders, respectively, at baseline. Fifteen children received the maximal dose of 4 mg among the prespecified dose levels. SOL recorded with the electronic sleep diary shortened significantly (mean ± standard deviation [SD], - 36.7 ± 46.1 min; 95% confidence interval [CI], - 45.9 to - 27.5; P <  0.0001) in the medication phase I from baseline, and the SOL-shortening effect of melatonin persisted in the medication phase II and the follow-up phase. Temper upon wakening and sleepiness after awakening improved significantly (P <  0.0001 each) in the medication phase I from baseline and persisted in the follow-up phase. The following subscales of the ABC-J improved significantly: stereotypic behavior (P = 0.0322) in the medication phase I; and irritability, hyperactivity, and inappropriate speech (P <  0.0001) in the medication phase II. Treatment-emergent adverse events did not occur subsequent to week 16 after medication onset, and NDDs did not deteriorate in the follow-up phase., Conclusions: Long-term melatonin treatment in combination with adequate sleep hygiene interventions may afford clinical benefits to children with NDDs and potentially elevates their well-being., Trial Registration: ClinicalTrils.gov , NCT02757066 . Registered April 27, 2016.

Tsunami earthquakes are a group of enigmatic earthquakes generating disproportionally large tsunamis relative to seismic magnitude. These events occur most typically near deep-sea trenches. Tsunami earthquakes occurring approximately every 10 years near Torishima on the Izu-Bonin arc are another example. Seismic and tsunami waves from the 2015 event [ M w (moment magnitude) = 5.7] were recorded by an offshore seafloor array of 10 pressure gauges, ~100 km away from the epicenter. We made an array analysis of dispersive tsunamis to locate the tsunami source within the submarine Smith Caldera. The tsunami simulation from a large caldera-floor uplift of ~1.5 m with a small peripheral depression yielded waveforms remarkably similar to the observations. The estimated central uplift, 1.5 m, is ~20 times larger than that inferred from the seismologically determined non-double-couple source. Thus, the tsunami observation is not compatible with the published seismic source model taken at face value. However, given the indeterminacy of M zx , M zy , and M {tensile} of a shallow moment tensor source, it may be possible to find a source mechanism with efficient tsunami but inefficient seismic radiation that can satisfactorily explain both the tsunami and seismic observations, but this question remains unresolved.

Kikai submarine caldera to the south of the Kyushu Island, SW Japan, collapsed at 7.3 ka during the latest supereruption (>500 km 3 of magma) in the Japanese Archipelago. Multi functional research surveys of the T/S Fukae Maru in this caldera, including multi-beam echosounder mapping, remotely operated vehicle observation, multi-channel seismic reflection survey, and rock sampling by dredging and diving, provided lines of evidence for creation of a giant rhyolite lava dome (~32 km 3 ) after the caldera collapse. This dome is still active as water column anomalies accompanied by bubbling from its surface are observed. Chemical characteristics of dome-forming rhyolites akin to those of presently active small volcanic cones are different from those of supereruption. The voluminous post-caldera activity is thus not caused simply by squeezing the remnant of syn-caldera magma but may tap a magma system that has evolved both chemically and physically since the 7.3-ka supereruption.

An artificial cilium using ac electro-osmosis (ACEO) is attractive because of its large potentiality for innovative microfluidic applications. However, the ACEO cilium has not been probed experimentally and has a shortcoming that the working frequency range is very narrow. Thus, we here propose an ACEO elastic actuator having a skew structure that broadens a working frequency range and experimentally demonstrate that the elastic actuator in water can be driven with a high-speed (∼10 Hz) and a wide frequency range (∼0.1 to ∼10 kHz). Moreover, we propose a simple self-consistent model that explains the broadband characteristic due to the skew structure with other characteristics. By comparing the theoretical results with the experimental results, we find that they agree fairly well. We believe that our ACEO elastic actuator will play an important role in microfluidics in the future.

We recorded P and S waves traveling through the oceanic lithosphere-asthenosphere system (LAS) using broadband ocean-bottom seismometers in the northwest Pacific, and we quantitatively separated the intrinsic (anelastic) and extrinsic (scattering) attenuation effects on seismic wave propagation to directly infer the thermomechanical properties of the oceanic LAS. The strong intrinsic attenuation in the asthenosphere obtained at higher frequency (~3 hertz) is comparable to that constrained at lower frequency (~100 seconds) by surface waves and suggests frequency-independent anelasticity, whereas the intrinsic attenuation in the lithosphere is frequency dependent. This difference in frequency dependence indicates that the strong and broad peak dissipation recently observed in the laboratory exists only in the asthenosphere and provides new insight into what distinguishes the asthenosphere from the lithosphere., (Copyright © 2017 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.)

The standard theory of induced-charge electro-osmosis (ICEO) often overpredicts experimental values of ICEO velocities. Using a nonsteady direct multiphysics simulation technique based on the coupled Poisson-Nernst-Planck and Stokes equations for an electrolyte around a conductive cylinder subject to an ac electric field, we find that a phase delay effect concerning an ion response provides a fundamental mechanism for electrokinetic suppression. A surprising aspect of our findings is that the phase delay effect occurs even at much lower frequencies (e.g., 50 Hz) than the generally believed charging frequency of an electric double layer (typically, 1 kHz) and it can decrease the electrokinetic velocities in one to several orders. In addition, we find that the phase delay effect may also cause a change in the electrokinetic flow directions (i.e., flow reversal) depending on the geometrical conditions. We believe that our findings move toward a more complete understanding of complex experimental nonlinear electrokinetic phenomena.

Surface science is key to innovations on microfluidics, smart materials, and future non-equilibrium systems. However, challenging issues still exist in this field. In this article, from the viewpoint of the fundamental design, we will briefly review our strategies on improving the micro-fluidic devices using the nonlinear electro- and thermo-kinetic phenomena. In particular, we will review the microfluidic applications using ICEO, the correction based on the ion-conserving Poisson-Boltzmann theory, the direct simulation on ICEO, and the new horizon such as nonlinear thermo-kinetic phenomena and the artificial cilia., (Copyright © 2015 Elsevier B.V. All rights reserved.)

We propose a novel mechanism to produce nonlinear thermokinetic vortex flows around a circular cylinder with ideally high thermal conductivity in an electrolyte. That is, the nonlinear thermokinetic slip velocity, which is proportional to the square of the temperature gradient [∇(T)0(2)], is derived based on the electrolyte Seebeck effect, heat conduction equation, and Helmholtz–Smoluchowski formula. Different from conventional linear thermokinetic theory, our theory predicts that the inversion of the temperature gradient does not change the direction of the thermokinetic flows and thus a Janus particle using this phenomenon can move to the both hotter and colder regions in a temperature gradient field by changing the direction of its dielectric end. Our findings bridge the gap between the electro- and thermo-kinetic phenomena and provide an integrated physical viewpoint for the interface science.

Induced-charge electro-osmosis (ICEO) is important since it can be used for realizing high performance microfluidic devices. Here, we analyze the simplest problem of ion relaxation around a circular polarizable cylinder between parallel blocking electrodes in a closed cell by using a multiphysics coupled simulation technique. This technique is based on a combination of the finite-element method and finite-volume method for the Poisson-Nernst-Planck (PNP) equations having a flow term and the Stokes equation having an electric stress term. Through this analysis, we successfully demonstrate that on application of dc voltages, quadorapolar ICEO vortex flows grow during the charging time of the cylinder for both unbounded and bounded problems and decay during the charging time of the parallel electrodes only for the bounded problem using blocking electrodes. Further, by proposing a simple model that considers the two-dimensional (2D) PNP equations analytically, we successfully explain the step response time of the ICEO flow for the both unbounded and bounded problems. Furthermore, at low applied voltages, we find analytical formulations on steady diffused-ion problems and steady ICEO-flow problems and examine that our numerical results agree well with the analytical results. Moreover, by considering an ion-conserving condition with 2D Poisson-Boltzmann equations, we explain significant decrease of the maximum slip velocity at large applied voltages fairly well. We believe that our analysis will contribute greatly to the realistic designs of prospective high-performance microfluidic devices.